Healthcare Provider Details

I. General information

NPI: 1669587051
Provider Name (Legal Business Name): CAULEY & ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 06/03/2024
Certification Date: 06/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9440 SANTA MONICA BLVD STE 301
BEVERLY HILLS CA
90210-4614
US

IV. Provider business mailing address

5757 WILSHIRE BLVD STE 635
LOS ANGELES CA
90036-3686
US

V. Phone/Fax

Practice location:
  • Phone: 323-931-6025
  • Fax: 323-931-6027
Mailing address:
  • Phone: 323-931-6025
  • Fax: 323-931-6027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number21583
License Number StateCA

VIII. Authorized Official

Name: MICHELLE CAULEY
Title or Position: PRESIDENT/OWNER
Credential: LCSW
Phone: 323-931-6025